A.V. Kutenyov, B.B. Radysh, T.V. Fedorovskaja

The work purpose i is studying of possibility of use binocular pupillometry as method of differential diagnos-tics cervical or thoracal segmentary кардиалгии. 161 patient (83 women and 78 men) neurologic department at the age from 28 till 53 years with proved segmentary cardialgia has been surveyed. Two groups on the ba-sis of clinical displays have been generated: 1) a pulling, pressing pain in the field of heart at loading on cer-vical department 69 patients age from 28 till 51 years, 2) an acute pain in the field of the heart, arising or amplifying at movement in chest department 72 patients at the age from 31 till 53 years. Registration зрач-ковых reactions was spent photoelectronic computer pupillograph Iritech DM-2000. Were investigated: The latent period of narrowing of a pupil , time of narrowing of a pupil, the latent period of expansion of a pupil, time of expansion of a pupil, time pupil reactions, amplitude pupil reactions. By us it is established that at 84 (49,4 %) patients in both groups during an attack it was observed анизокория with presence midriasis different degree of expressiveness on the pain party. At detailed research it is revealed that at patients of 1 group in 62 cases (89,8 %) have been considerably reduced the latent period of narrowing of a pupil, but is increased time of a plateau and time of expansion of a pupil mainly at the left. After course of treatment has increased and has come nearer to average at 54 (78,2 %), reduction of an indicator of time of expansion of a pupil has been registered at 64 (92,7 %) patients, indicator the latent period of narrowing of a pupil authen-tically has not changed. At patients 2nd groups of change the latent period of narrowing of a pupil were sta-tistically doubtful, but time of expansion of a pupil therefore time зрачковой reactions was extended have been increased. On the basis pupillometric researches it has been established that the amplitude of narrow-ing of a pupil in process of increase in age of an organism steadily decreases in both groups, and falling of force of a parasympathetic tone makes 21 %. In a clinical picture and the reason segmentary cervical car-dialgia the considerable role is played by a pathology of vegetative nervous system, hyperreactance of its sympathetic part, hypofunction of the parasympathetic part. At patients with thoracal segmentary cardialgia infringements vegetative innervations are considerably less expressed. Binocular pupillometry can be one of significant and authentic methods in differential topical to diagnostics segmentary cardialgia.